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City of Newport Beach - Building Division III 1e111111IN1111111111111INIIIIIIII III
100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 2 0 0 5 3 4
Permit Counter Phone (949)644-3288
Job Address: 601 VIA LIDO SOUD BIdg:1 Floor: Suite:
Description of Work: MECH A/C UNIT *TAMPER PROOF CAP REQ-
Inspector Area:2 Code Edit: 2019
Legal Description: N TR 907 LOT 1
Owner: CAMPBELL ARGYLE Contractor:
Address: 601 VIA LIDO SOLID Address:
NEWPORT BEACH, CA 92663
Phone: Phone:
Con State Lic:
Issued Date:09/23/2020 Lic Expire:
S /1 Bus Lie:
Processed By:_ ic Exp Date:
COMFORT HEATING & A/C
21962 COSALA
MISSION VIEJO CA 92691
714-335-7055
632774
12/31/2021
BT30005700
08/31/2021
MECHANICAL Permit : H2O20-0534
Project No : 1849-2019
Inspection Requests Phone
Worker's Comp Insurance -
Carrier : W/C EXEMPT
Policy No: (NO EMPLOYEES)
Expire :
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°
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4
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0
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ms
s Boilers & Compressors
Ventilation
FEES
0K BTU/hr:
K BTU/hr:
0
0,„.:.
$0.00
$0.00
U to 3HP:
o H :
1 $21.00
Bathroom Fan:
0 $0.00
Fire Dampers:
0 $0.00
Other
$0.00
r Heaters:
rto
0
$0.00
> 3 HP:
>15 HP to 30 HP:
0 $0.00
0 $0.00
Exhaust Fan:
Attic Fan:
0 $0.00
Gas Line:
0 $0.00
$0.00
ps & Package
Units
>30 HP to 50 HP
0 $0.00
Down -Draft Fan:
0 $0.00
0 $0.00
Metal Fireplace:
Record Mgt Fee:
0 $0.00
0K BTU/hr:
BTU/hr:
0
0
$0.00
$0.00
>50 HP:
Air Handling Units
0 $0.00
Residential Hood:
0 $0.00
Additional FeeK
$0.00
$0.00
Invest gation:
$0.00
Up to 1.7 BTBTU
0
$0.00
up to 10K CFM:
0 $0.00
Comm. Hood:
Repair/Alter/Add:
0 $0.00
0 $0.00
Model:
Plan Check:
$18.27
Up to 1.75M BTU/hr.
Over 1.75M BTU/hr:
0
0
$0.00
$0.00
Over 1 OK CFM:
0 $0.00
Supplemental Fee:
$0.00
Manufacturer:
ASX16issuance:
AMANA
37
VAV Box:
0 $0.00
Zoning PC:
$46.25
TOTAL:
$122.52
Plan Check Fee
: $122.52
Fee Due at Permit Issuance:
$0.00
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
construction Hours: Monday - Friday 7:00 a.m.to 6:30 p.m.and Saturday from 8:00 a.m.. to 6:00 p.m.
m under;
Business
3tement that
Xempt ftam the Contractors` State. License Law for the feason(s) indicated below by thecheckmark(s) Lhave placed next to the applicable items)
city or county thatrequires permit to construct, alter, improve, demolish, or repair any structure, prior toits issuance, also requires the applicant for
xhsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Sedan 7000) of Division 3 of the Business and
insure and the basis for the alleged exemption. Any violation of Section 7031,5 by any applicant for a permit subjects file applicant to:acivil penalty of
man: than five hundrec Jolters ($500).
f, as owner of the prop. -ty, or my employees with wages as their sale compensation., will do U all or or u portions of' he work and the structure is not intended or offered for sale (Section 7044.
ainess and Professions 'ode: The Gontractors'State License Law does not apply town owner of propedy wbo, through emptoyees' ar personal effort, builds or improm the prop", provided that the
�rovements are not rote. Jed or offered for sale. If, however, the building or impmwment Is sold within one year of completion, the Owner•Builder wilt have the burden of proving that it was not built or
,roved for the purpose. ,.:sale).
I, as avvrier of the prop: 'ly, am exclusively contracting with licensed Coritractorsto consbuctthe pmject(Section. 7044, Business and Professions Codw Tim Contractors' State License taw does not
)ly to an. owner of pfopR ;ffwho builds pr improves thereon, and who-contractsfarthe projects with iiwinsed Contractorpursuantto Me Contractors' State License Law).
I am exemptfrom Roar. tire UndertheContmctors State. License lawforthe following reason:
my signature below l ar. nowledge that except for my pesonal residenceln which I Must have resided for at leastone.year prior to completionof the improvements covered by this permit, I cannot Jar
a structure that I have, ,:lit as an ayner-builderif rt'has not been canstiucted jR its entiriety dy licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
dessions Code, is availa ,ie upon request when tlfis application its submitted or at the: following Web site:httpYAIA u.leginfo,ca.govrcaiaw.html,
nature of Property Own r orAUftrized Argent I Date
ONTRAC' DR'S DECLARATION
under penai ;,of perjury that t am licensed under provisions of Chapter (commencing
COMPENS 'MON DECLARATION
7000) of DIVslon 3 of the Business- d P salons C , and my license is in full force
Contractor Signature
AL FINALTIaS MID CwL. FINES aP TO ONZ If RM rHOUSAND 001,"R$ rim IX10), IN 4001 0TO THE
hereby affirm under perr.� +: of perjury one of the following. declarations:
3 I have and will maima .-a certificate of consent to self insum for xtorkers` compensation, issued by the Director of Industrial Relations as provided for by Section 370D of the Labor Code,
e)nuance of ha work fo ,,hlch this permit is issued, Policy NO.
I have and
will mamtarr :rodteR compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' wmpe
:amen oe Carrier and Rollo- number are:
.Policy Number _ Expiration Date _.
Agent
y that, in the Parfc.
affirm under
a: construction: lending. agency
ny signature below, I ct fy to each of the follow!
I am the property owne ar authorized t0 apt On
t have mad this aPpiip= ,On and the information t
t agree to comply with 2 3 OPPnaable cloy an eau
I authorize represental 3 of this clay or Cou t
natureofpmperty Ovm< orAutho,z cI Agent
person in any mannerso as to become subject to t wortcers' compensation laws of California, and agree
.r Code, t shall forthwith Comply with those pro s '?
[late V 4/r �. < 9--L;l _ _
m of the work for which this permit is issued (Section 3097, Civil Cade),
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